生物反馈疗法对武汉市某医院结肠癌患者负性情绪及睡眠质量的影响

Effect of Biofeedback Therapy on Negative Emotion and Sleep Quality of Patients with Colon Cancer in a Hospital in Wuhan

目的:探讨生物反馈疗法对于减轻患者焦虑、抑郁以及改善患者睡眠质量的临床价值。方法:采取方便抽样法选取武汉市某医院156名结肠癌患者并分为干预组(86人)和对照组(70人)。对照组给予传统心理护理,干预组在对照组的基础上给予生物反馈疗法。比较患者治疗前后焦虑、抑郁、睡眠质量情况,术后早期恢复情况以及患者远期复发率。结果:治疗后,干预组医院焦虑抑郁量表(HADS)评分、I睡眠质量、II入睡时间、IV睡眠效率和匹兹堡睡眠质量指数(PSQI)总评分均低于对照组(P<0.05)。干预组开始下床活动的时间和开始排便排气的时间均早于对照组(P<0.05)。干预组患者复发率低于对照组,但差异无统计学意义(χ^2=3.4691,P=0.063)。结论:生物反馈疗法与传统心理干预方法相比,更确切有效。

Objective: To explore the clinical value of biofeedback therapy in reducing anxiety, depression and improving sleep quality of patients. Methods: 156 patients with colon cancer were chosen by convenience sampling method and divided into intervention group(n=86) and control group(n=70) in a hospital in Wuhan. The control group was given traditional psychological nursing, while the intervention group was given biofeedback therapy based on the control group. The changes of anxiety, depression and sleep quality before and after treatment were compared. The early recovery and long-term recurrence rate of the two groups were compared. Results: After treatment, the HADS(Hospital Anxiety and Depression Scale)scores and the PSQI(Pittsburgh Sleep Quality Index) scores of the intervention group were lower than the control group(P<0.05). After treatment, the scores of I sleep quality, II sleep time and IV sleep efficiency in the intervention group were lower than those in the control group, and the differences were statistically significant(P<0.05). After the operation of colon cancer, the time of getting out of bed and starting defecation and exhaust in the intervention group were less than those in the control group(P<0.05). At the end of follow-up, the recurrence rate of the intervention group was lower than that of the control group, but the difference was not statistically significant(χ~2=3.4691, P=0.063). Conclusion: Biofeedback therapy is more effective than traditional psychological intervention.